I-Paresis yamathumbu: izimbangela, izimpawu, ukwelashwa

Igama lezokwelapha elithi "paresis" ngesiGreki elithi "πάρεσις" lisho ukwehlisa amandla. I-Paresis iyanciphisa ukunyakaza okuzithandela, isifo esikhethekile se- neurological syndrome esibangelwa ukulimala ezigumbini zobuchopho kanye / noma intambo yomgogodla, kanye nezinqubo zokuqhutshwa kwezinhlelo ze-peripheral and central nerveous systems. I-Deep paresis, ebizwa nangokuthi i-plethia noma ukukhubazeka (ngesiGreki "παράλυσις" - ukuphumula) kungukungabikho okuphelele kokunyakaza okungaqondakali, okubangelwa izimbangela ezifanayo njenge-paresis.

I-Paresis ne- paresis ejulile (ukukhubazeka) yizinkinga zemoto ezibangelwa umonakalo ohlelweni lwe-pyramidal lobuchopho. Ngokuvamile, ngemuva kokungenelela kokuhlinza ukuthuthukisa i-paresis yamathumbu, okungase kuhambisane nokukhuliswa kwesisu. Kulesi simo, i-paresis yamathumbu ibangelwa ukuphulwa kwamanzi kanye ne-electrolyte balance, kanye nokulimala kokusebenza. Ngaphandle kwalokhu. I-paresis yamathumbu ngokuvamile ivela phambi kwe-hypokalemia, eqala ngenxa yokulahleka kwegazi ngesikhathi sokuhlinzwa noma ngenxa yokuhlanza okuphindaphindiwe esikhathini esibekiwe ngemva kwesikhathi.

Ezikhathini eziningi i-paresis yamathumbu iqala ngosuku lwesibili lwesithathu ngemva kokusebenza. Lesi sifo sidinga ukwelapha okusheshayo, ngoba ukugonywa kwamathumbu emathunjini ngenxa ye-paresis kwandisa ukuphazanyiswa kwe-electrolyte okwamanje, futhi kubangele ekuthuthukiseni ukudakwa. Ngezinye izikhathi, ngeziguli ezibuthakathaka kakhulu ngokumelene ne-paresis, i-peritonitis iqala. Ngaphandle kwe-paresis okuthiwa i-postoperative, i-paresis yamathumbu kubantwana, okwenzeka ngenxa ye-hypoxia, ukuphazanyiswa kwe-microcirculatory emathunjini, nokwandiswa kwegesi, kuvamile.

Okokuqala futhi, mhlawumbe, uphawu oluyinhloko lwe-paresis yamathumbu ukuvuvukala kwalo, okuyinto evame ukuhambisana nokuqedwa. Isimo sibi kakhulu ngokuqoqwa nokugcinwa kwegesi kanye nokwanda kokuvuvukala kwamathumbu. Ngenxa yokulimala kokuqukethwe kwamathumbu, izinqubo zokubola zikhula kulo, futhi ukuqoqwa kwegesi kwanda. Ngesikhathi esifanayo, izindonga zamathumbu ezonakele futhi ezihlukanisiwe, ezingenakuthola igesi, zisabela kulezi zinqubo ngokukhululwa kwe-mucus kanye ne-liquid. Ngaphezu kwalokho, kunezinguquko ezingenakuguqulwa ezindongeni zamathumbu futhi kukhona ukungcola kwamathemikhali, umthamo wokujikeleza kwegazi wehla - futhi isimo se-"shock protoplasmic" sifikile.

Indawo ekhethekile ekutholeni i-paresis yamathumbu iyingxenye yokuhlolwa kwe-X-ray, eqala ngerejistri yokubuka konke kwesisu. Ukuhlolwa kwenziwa ngezikhundla ezimbili zesiguli: okuqondile nokuqondile.

I-Paresis yamathumbu: ukwelashwa nokuvimbela

Kuye ngokuthi indlela yokuthuthukiswa kwe-paresis ishintshwe ngayo futhi ishintshela ekuvinjeni kwamathumbu emathunjini, izinyathelo zokwelapha nezokuvikela zenziwa ezindaweni eziningana eziyinhloko.

Okokuqala, ukuqaliswa kokungenelela kokuhlinzwa kufanele kwenziwe ngokucophelela ukugcinwa kwemigomo yezinqubo zothando, okuyingxenye ebalulekile ekuvimbeleni i-paresis postoperative.

Uma kunesongo esicacile sokuthuthukiswa kwe-paresis, ngokwesibonelo, ekufakeni i-pancreatitis ephawulekayo, ukulimala kakhulu kwesisu nesisu, kuyadingeka ukwenza ukuphela kwesisu ngesifudu.

Ngaphezu kwalokho, kuvinjelwe ukuvinjelwa kokuzwelana, okutholakala nokuvinjelwa kwe-novocaine. Uma kukhona usongo lokuthuthukiswa kokuvimbela okunamandla kanye nokwelapha i-paresis ephikisanayo, okuphumelela kakhulu ukuvimbela i-peridural.

Isiqondiso esilandelayo somthelela wokwelashwa ekulwa nombono we-paresis kuyindlela yezindlela zokuvuselela ukuguquka kwamathumbu emathumbu, njengama-massage odongeni esiswini, amafutha, i-etheric noma i-al-alcohol ephoqelekayo, ukucindezeleka nokucasula ngethubhu yegesi ye- rectum.